Can VISION 2020 be implemented in rural government settings? Findings from two programmes in Tanzania.
OBJECTIVE
To generate information on essential components and the cost recovery potential of VISION 2020 programmes in rural Africa.


METHODS
We took a structured approach to planning, training, implementation and supervision of programmes in Singida and Mara regions, Tanzania involving both government and non-government partners. Extensive mentoring was provided to monitor activities and costs.


RESULTS
Annual numbers of patients receiving eye care increased sevenfold, cataract surgeries by a factor of 2.6 and spectacles dispensed by a factor of 16. Running costs were shared; the government provided 40-60%, non-government organisations (NGOs) 25-45%, and patient fees 15%.


CONCLUSIONS
Comprehensive eye care can be delivered with cooperation among partners. However, continued coordination and cooperation from government and NGOs are critical to reach VISION 2020 goals.
Eliah
Edson
E
Kilimanjaro Centre for Community Ophthalmology, Good Samaritan Foundation, Moshi, Tanzania.
Shayo
Andrew
A
Gendo
Charles
C
Courtright
Paul
P
Theraney
Manisha
M
Lewallen
Susan
S
D002387:Cataract Extraction / Q000191:economics / Q000706:statistics & numerical data; D003153:Community Health Services / Q000458:organization & administration; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration*; D005260:Female; D006078:Government Programs / Q000458:organization & administration*; D006285:Health Planning / Q000458:organization & administration; D006801:Humans; D008297:Male; D009885:Ophthalmology / Q000191:economics; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration* / Q000592:standards; D013636:Tanzania